Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.71 / $1,124.60 / $1,167.83	Professional		$831.71	$1,124.60	$1,167.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.21 / $1,989.30 / $2,155.71	Professional		$1,692.21	$1,989.30	$2,155.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $732.26 / $1,253.85 / $2,368.73	Professional		$732.26	$1,253.85	$2,368.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,409.14 / $1,900.59 / $6,608.00	Facility		$1,409.14	$1,900.59	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.91 / $1,804.35 / $9,420.83	Professional		$977.91	$1,804.35	$9,420.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,188.38 / $1,775.24 / $2,321.90	Facility		$1,188.38	$1,775.24	$2,321.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,314.65 / $1,751.01 / $2,321.90	Professional		$1,314.65	$1,751.01	$2,321.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,517.10 / $1,979.90	Professional		$15.00	$1,517.10	$1,979.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $1,700.82 / $2,427.15	Professional		$876.00	$1,700.82	$2,427.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,467.30 / $1,467.30 / $1,726.20	Professional		$1,467.30	$1,467.30	$1,726.20